Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00224 | Date 07/08/2018 |
| Token No | SM/18-19/234 07/08/2018 | Serial | 007 Last Visit: 04/07/2024 |
| Patient Name | Mr. AVIK MUKHERJEE | Contact No | |
| Address | 59/A, VIVEKANANDA ROAD, SHEORAPHULY | Age | 18 Years,6 Months,1 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||